Provider Demographics
NPI:1376829770
Name:NU-ERA HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:NU-ERA HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARRINGTON
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-200-5300
Mailing Address - Street 1:225 WEST HOSPITALITY LN
Mailing Address - Street 2:#200
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-2739
Mailing Address - Country:US
Mailing Address - Phone:909-890-9111
Mailing Address - Fax:909-890-5256
Practice Address - Street 1:225 WEST HOSPITALITY LN
Practice Address - Street 2:#200
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-2739
Practice Address - Country:US
Practice Address - Phone:909-890-9111
Practice Address - Fax:909-890-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-30
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2462968251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health